Poor Responders
Conditions
Keywords
Poor responders, letrozole, human menopausal gonadotropin
Brief summary
The accurate identification and efficient management of poor responders remains one of the most enigmatic challenges in assisted reproductive technology (ART). The investigators study will compare the letrozole/antagonist protocol to the hMG/antagonist protocol in women who poor responders.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients will be considered eligible if they are poor ovarian responders according to the Bologna criteria (Ferraretti et al., 2011). * Two out of three of the following criteria are essential in order to classify a patient as poor ovarian responder: * advanced maternal age (≥40 years) or any other risk factor for poor ovarian response; * a poor ovarian response (≤3 oocytes with a conventional stimulation protocol); or * an abnormal ovarian reserve test (antral follicle count, \<7 follicles or anti-Mullerian hormone, \<1.1 ng/ml).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Ongoing pregnancy rate | up to 2 weeks | The primary outcome measure will be the ongoing pregnancy rate (\>12 weeks' gestation) per started cycle. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cancellation Rate | up to one month | One of the secondary outcome measures will be cancellation rate. |
| Number of oocytes retrieved | up to one month | One of the secondary outcome measures will be number of oocytes retrieved. |
| Number of transferable embryos | up to one month | One of the secondary outcome measures will be number of transferable embryos. |
| Implantation rate | up to 2 weeks | One of the secondary outcome measures will be implantation rates. |
| Clinical pregnancy rate | up to 2 weeks | One of the secondary outcome measures will be clinical pregnancy rates. |
Countries
Turkey (Türkiye)